INSTITUTE OF MANAGEMENT SCIENCES PESHAWAR

FINANCIAL AID / SCHOLARSHIP APPLICATION FORM

GRADUATE LEVEL SESSION 2012-2016
This financial aid / scholarship application form is for the following three (3) fully funded need based scholarship programmes.
1

IM|Sciences Fully Funded FATA Scholarship Program for MBA (General) (With exit route to Bachelor of Business Studies BBS) & MS Management Sciences
2

HEC French Need Based Merit Scholarship Program for MBA (General) (With exit route to Bachelor of Business Studies BBS)
3

HEC Fully Funded Need Based Merit Scholarships for MBA (General) and M. Sc (Computer Science)
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Institute of Management Sciences Peshawar

FULLY FUNDED NEED BASED SCHOLARSIPS

MBA (General) (With exit route to Bachelor of Business Studies BBS) and M. Sc (Computer Science)
Session 2012-2016 Instructions for Applying (Read Carefully)
These scholarships are only for the Pakistani nationals. The 25% to 30% of the allocated slots are reserved for females specially for those coming

from remote and vulnerable areas of Pakistan

Award of Scholarships will be decided on the NEED cum MERIT basis. Those applicants, who are applying for these three (3) scholarship programmes, will have to submit this separate prescribed scholarship form along with admission form. This is provided to each and every candidate with the admission prospectus. Applicants, who do not secure admission, will not be entertained. Last date for submission of this scholarship / financial aid application form with all required supporting documents is similar as last date for submission of admission forms for MBA (General) (With exit route to Bachelor of Business Studies BBS) and M. Sc (Computer Science) Session 2012-2016. Incomplete application forms will not be entertained. In case of providing false information or concealment of any relevant fact regarding financial status, in any point of time from application date till graduation, his/her scholarship will be immediately deferred and he/she will be terminated from the program.

Required Supporting Documents:

Please Attached attested photo copies of the following applicable documents 1. Domicile of Applicant 2. CNIC / Form B of the Applicant 3. CNIC of the Applicants Father /Guardian 4. Income Certificate of the Father /Guardian of the applicant i. Salary Slips if the father/Guardian is a salaried person ii. Income Certificate from Secretary Union Council in case Father/Guardian is self employed. It should include the business nature, Name and location of business, Landline phone number, owner NIC and contact details. This document should be on stamp paper. iii. In case of FATA the Income Certificate on Stamp Paper, should be taken from the office of PA / APA or Tehsildar of the concerned Agency or FR. iv. Pension Copy if Father/Guardian is retired. 5. Utility Bills (Electricity, Gas, Telephone, Water) of last six months. I. In case of FATA, the applicant has to submit an affidavit from Tehsildar Office of the concerned Agency / FR that in the area where applicant is residing, there are no utility bills. II. In Case of Chitral, for Utility Bills, submit a certificate of electricity expenses from their local electricity concern person. 6. If the Medical expenses exceeds Rs. 2000 then attached Medical Bills. 7. Fee receipts of the studying brothers/sisters. 8. Death Certificate from Competent Authority (Medical Doctor, Employer, Secretary Union Council, Tehsildar or Political Agent). 9. Rent agreement, if house is rented. 10. Disability Certificate, if any 11. Loan Agreement, if any 12. Other relevant Documents / Proofs

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Fully Funded Merit & Needs Based Scholarship Program IMPORTANT INFORMATION
Scholarship is based on assessment of need and merit as well as availability of funds. Selection will be decided on the basis of information provided in this form and investigations for the authentication of provided information. Candidate may be required to appear for interview (s). PROVIDING FALSE INFORMATION Providing false information may result in one or all of the following: Cancellation of admission. Rustication from the university. Initiation of criminal proceedings. Disqualification for award of any future loan/scholarship. Refund of all the payment received and or a penalty equal to total scholarship amount. INSTRUCTIONS FOR FILLING OUT THE SCHOLARSHIP APPLICATION FORM: Fill in the form using black ball point pen and write in capital letters and leave space between words Read the application form carefully. Make a photocopy of the application form Complete the photocopy form and make sure everything is correct and final Copy all information from photocopied form to the original form Submit duly completed application form to the admission office or focal person Furnish factual, comprehensive and authentic information in the form For family financial reporting parents/guardian may be consulted for guidance Whenever in doubt or lost, seek help from the Focal Person Check your application for spellings, grammatical errors and factual oversight Keep a photocopy of the filled-in original application form for your record Ensure that you have attached all the required documents by putting a tick mark in checklist Answer all questions. Those not applicable should be marked N/A Affidavit Needs to be submitted after final selection of the candidate Definitions: Family: Father, mother(s), brother(s), sisters(s), Maternal / Paternal Uncles (s) & Aunts, Grandparents etc. Pucca House: A pucca house is one, which has walls and roof made of the following material. Wall material: Burnt bricks, stones (packed with lime or cement), cement concrete, timber, ekra etc Roof Material: Tiles, GCI (Galvanised Corrugated Iron) sheets, asbestos cement sheet, RBC,(Reinforced Brick Concrete), RCC ( Reinforced Cement Concrete) and timber etc. Kutcha House: The walls and/or roof of which are made of material other than those mentioned above, such as un-burnt bricks, bamboos, mud, grass, reeds, thatch, loosely packed stones, etc. are treated as kutcha house. Semi -Pucca house: A house that has fixed walls made up of pucca material but roof is made up of the material other than those used for pucca house. Others: The houses, which are not covered by the types mentioned above, are to be treated as of others type.

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INSTITUTE OF MANAGEMENT SCIENCES PESHAWAR FULLY FUNDED NEED BASED MERIT SCHOLARSHIP PROGRAMME
MBA (General) (With exit route to Bachelor of Business Studies BBS) and M. Sc (Computer Science) Session 2012-2016
Father Name Date of Birth PERSONAL INFORMATIONS Discipline / Admission Year Semester Domicile

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Name

National ID #

Contact #

Educational Background Level Institute / College Board Marks Obtained Total Marks Percentage Per Month Tuition Fee in Pak Rs. Per Annum Tuition Fee in Pak Rs.

Matric

FA / FSc

BA / BSc / B. Com

FAMILY INFORMATIONS (Per Month)

Candidate

Marital Status

Father Status Alive/Deceased

Father / Guardian Profession

Family Members

Earning Hands

Studying Members

Father / Guardian Income

Mother Income

Income from Land

Misc Income

Total

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FAMILY UTILITY BILLS, FOOD AND MISCELLENEOUS EXPENSES (Per Month) Electricity Telephone Gas Water Food / Kitchen Expenses Medical Expenses Miscellaneous Expenses Educational Expenses Total

FAMILY EDUCATIONAL EXPENSES (Per Month) Relationship With Student Self Brother / Sister Brother / Sister Brother / Sister Brother / Sister Brother / Sister Brother / Sister Brother / Sister Brother / Sister Brother / Sister Brother / Sister Brother / Sister Brother / Sister Name of The Institute / College Tuition Fee Hostel Charges Books Charges Travelling Charges Total

Total
GAP / DIFFERENCE IN TOTAL MONTHLY INCOME AND TOTAL MONTHLY EXPENSES (Per Month) Total Monthly Income Total Monthly Expenses Gap / Difference

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ASSETS (Owned) Accommodation Type (Own) Accommodation Size in Marlas Value of Home Status of Construction Pakka Semi Pakka Kachha ASSETS (Rented) Agricultural Land Size Value of Agricultural Land Vehicle Type and value in Rs. Bank Balance in Rs. Total

Accommodation Type (Rented)

Accommodation Size in Marlas

Value of Home

Status of Construction Pakka Semi Pakka Kachha

Total

ADVANCE LOAN / ANY OTHER SOURCE Advance Loan* Other Source Other than This Scholarship Total

Please mention that from whom you have taken the loan. Name, NIC Copy and Contact Number of the person (Legal proof, if any)

______________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________

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Institute of Management Sciences Peshawar Need & Merit Based Scholarship Program SCHOLARSHIP APPLICATION FORM
Name of the University: Institute of Management Sciences, Hayatabad, Peshawar Degree Title / Program: MBA (General) (With exit route to Bachelor of Business Studies BBS) and M. Sc (Computer Science) Session 2012-2016

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Section A: Applicant Personal and Family Information

1. Applicants Name: ____________________________________Gender: Male 2. Applicant CNIC No. 3. Marital Status 4. Age : _________ Single Married Divorced Female -

Place of Birth ____________________________________________

5. Present Address _________________________________________________________ 6. Permanent Address: ______________________________________________________ 7. Email: ____________________________ Mobile _______________________________ Tel(Resident)_____________________________________________________________ 8. Are you currently working : Yes No

9. If answer is Yes to Section No. 8 complete the sections (9-13) Designation: ___________________Name of Employer /Company: _________________ 10. Previous Employer/Company Name (if applicable): _______________________________ 11. Total Monthly Applicant Gross Income in Pak Rs. ________________________________ 12. Total Monthly Applicant Take Home Income* in Pak Rs. ___________________________ 13. Total Annual Applicant Gross Income: _________ Applicant NTN No. ________________ * Take Home Income: Salary / Pay available after deduction of taxes, provident fund charges etc. 14. Total Members in the Family: ________________________________________________ 15. Total Family Members currently living with you: ____________________________________ 16. Total Number of Brothers/Sisters married ______________________________________ 17. Family Members Details S# 1 2 3 4 5 6 * if family members are more than 6, use another sheet.
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Name of Family Member (s)

Relationship

Marital Status

Remarks

18. Total Earning Members in Family: _____________________________________________ 19. Total No of family members not earning _______________________________________ 20. Brothers/Sisters/Children/Family Members studying _____________________________ 21. Details of Siblings Studying S# 1 2 3 4 5 6 22 Total Fees & Tuition Charges Name Relation with applicant Name & Address of Institute Fee per month

22. Fathers Name: _________________ Computerized N.I.C. No ________________________ 23. Status: Alive Deceased Retired Business Owner

24. Professional status: Employed

25. Name of Company/Employer: ___________________________________________________ 26. Address: ____________________________________________________________________ 27. Tel (Off): ______________________________ Mobile: ______________________________ 28. Occupation Type: ____________________________________________________________ 29. Designation & Grade ( BPS/ SPS etc): ____________________________________________ 30. Total Monthly Income (Salary/ Pension/ Others): _____________________ 31. Total Annual Income: ___________________________ 32. Any Other Supporting Person (Mother/ Guardian/ Brother/ Sister/Family

Relative/Guardian): 33. Name: ___________________________ Relationship: _________________________

34. Address: ____________________________________________________________________ 35. Tel (Off/Res) _______________Mobile No._______________ NIC no.__________________ 36. Occupation __________________________________________________________________ 37. Designation_____________________Name of Company/Employer _____________________ 38. Total Monthly Gross Income (Salary/ Pension/ Others) _______________________________ 39. Total Net Monthly Take Home Income (Salary/ Pension/ Others): _______________________ 40. Total Net Annual Income______________
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41. Monthly Financial Support Available to Applicant in Pak Rs. __________________________ 42. Total Earning Members in Family: _____________________________________________ 43. Total No of family members not earning _________________________________________ 44. Details of Family Members Earning:
S # Family Member Name Relationship Family Member occupation *** Organization Name Monthly Designation Gross Pay/Earning **Remarks

44 Total Monthly Family Income (add self income, if applicable) Pak Rupees ** Please mentioned if the Family member supporting to Family in Remarks Column (Yes/No) *** Family Member Occupation classification
1. 2. 3. 4. Government Service (Specify the employment grade BPS/SPS/PTC etc.) Private Job Agriculture/Farming Own Business (Self Employed). Details/nature of self business need to filled in at remarks column

5. Others. Details/nature of self business need to filled in at remarks column 45. Asset Income (on monthly basis) S# Income Source Father Mother Spouse 1 2 3 4 5 Property Rent Land Lease Bank Deposits* Shares / Securities* Other (Specify)

Self

Other

Total

45

Total

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46. Total Family Monthly Income

Monthly Income from S# Family Member Name Relationship Assets (Sec. 45) Total Monthly Income from All Sources

1 2 3 4 5 6 46-A
Applicant Monthly Gross Pay/Earning (Sec. 11) Applicant Monthly Net (Take home) Pay/Earning (Sec. 12)

Total Monthly Income in Pak Rupees Total Annual Income in Pak Rupees

46-B

FAMILY EXPENDITURES 47. Accommodation Expenditures ( Please Check the relevant boxes) Type: Bungalow Structure: Pucca House Apartment /Flat Kutcha House Town House Semi Pucca House Village House Others

(Detail available at Page 1 &2) Status: Rented Rent Payment: Self Self or Family owned Employer/Govt Employer / Govt Owned Others

Total Size of the House in Sq. ft._________________ Covered Area in Sq. ft.__________

S#

Accommodation Location /Address

Number Of Bed Rooms 1-2 2-4 4-6 6-8

Above 8

Number Of Air conditioners Nill 1-2 3-6 6-8

Above 8

Accommodation Monthly Rent

Accommodation Annual Rent

48

Total Accommodation Rental Expenditure

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Last Month Utilities Paid* Telephone Electricity Gas Water

49. Utilities Expenditures

Average of Last Six Months (Per Month Utilities Charges)

S# 49

Telephone

Electricity

Gas

Water

Total

50. Monthly Food /Kitchen Expenditures(Per Month) ______________________________ 51. Medical Expenditures:______________________________________________________ 52. Travelling/ Miscellaneous Expenditures Average of last six months (Per Month Expenditure)_______________________________ Total Family Expenditures
S # Education Expenditure (Sec. 22) Accommodation Expenditure (Sec. 48) Utilities Expenditure (Sec. 49) Food Expenditure (Sec. 50) Medical Expenditure (Sec. 51) Misc. Expenditure (Sec. 52) Total Monthly Expenditure (52.A) Total Annual Expenditure (52.B) (52.A) x 12

52 S# (Sec.46-A) (Sec. 52-A) 53-A

(46.A 52.A)

Description Total Monthly Income Total Monthly Expenditure Net Monthly Disposable Income*

Amounts in Pak Rupees

S# (Sec.46-B) (Sec. 52-B) 52-B

(46.B 52.B)

Description Total Annual Income Total Annual Expenditure Net Annual Disposable Income*

Amounts in Pak Rupees

* If the monthly / Annual Disposable Income is negative, kindly explain the reasons for the gap, and the arrangements through which the differential gap is met by the family

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Section B:
Cumulative information of Self, Parents and Guardian Assets

Assets (with current market value) 53. Does the family own any Transport? If yes kindly fill the relevant details
S# Transport Type (Car/ Motor cycle/ Others*) 1 2 Make /Model Engine Capacity (CC) Registration No. Value

Yes

No

* Others: include tractor, rickshaw, bi-cycle, motorcycle rickshaw, carriage pick, truck etc. 54. Number of Cattle(s) (with kind) __________________________________________________ 55. Area and location of Land(s)/Plot(s) owned _________________________________________ Assets Title Residential (House) Commercial (Shop, Plaza, On Rent) Agricultural Employer/ Qty Size Location (Address) Cultivable Agricultural Area Yield per Acre

Govt

Scheme House/flat

56. Assets worth (Current Market Value in Pak. Rs.) S# 1 2 3 4 5 6 7 56 Assets Title House Business Vehicle/Car Bank Balance Stocks/Prize bond Cattle(s) Agricultural Land Total Father Mother Spouse Guardian Total

57. Taxes paid (per annum in Pak. Rs)________________________________________________

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Section C:
Financial arrangements for current year

58. Is there some loan is available from friend /family for applicant education? Yes No if Yes then write Name of the Friend /Family Member __________________________ Relation__________________ Contact (Mobile No.)________________________________________________________________

59. Any source of financing other then this scholarship ( If Please specify)___________________

__________________________________________________________________________________

__________________________________________________________________________________ 60. How you will pay the 1st Semester Fee? __________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________ Section D: Applicant Educational Record

Level of Study Bachelors

BA/BSc/BCom etc

Name and Location of Institute

Per Month Fee

Marks Obtained /Total Marks

Division /Grade

%Age

Intermediate
FA/FSc/D.Com

Matric

61. Per month fee/ tuition charges of the institution last attended ________________________

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62. Have you ever awarded any other scholarship before:

Yes

No

(If yes fill the details of scholarships & attach documentary proof of the scholarships) S# 1 2 3 Name of Institute Scholarship Name Total Scholarship Amount Total Scholarship Period Class / Level at which Scholarship was granted

Statement of Purpose (Explain your suitability for this scholarship) - attach separate sheet if required __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ UNDERTAKING
1. The information given in this application is true to the best of my knowledge and I understand that any incorrect information will result in the cancellation of this application. If any information given in this application is found incorrect or false after grant of financial assistance, the institute will stop further assistance and the student will have to refund all payment received and or penalty equal to total scholarship amount. 2. IM|Sciences and HEC reserve the right to use information given in this form for verification and other purposes. Date: ___________________ Parents / Guardian Signature _____________________________ Applicant Signature
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Date:

For Official use only Are the applicant documents in order? Yes No

The notices furnished to the applicant for furnishing of required documentation S# 1 2 3 4 Application Case Review Dates (i) _________________(ii) _________________________________ Additional Remarks Notice Date Document Name Missing Document Submission Date Remarks

______________ Date

_______________ Department Name

___________________________________ Signature Head of Department / Focal Person

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